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SUSPECT INFORMATION

 
LEAVE BLANK

 

 

TYPE OR PRINT ALL INFORMATION IN BLACK

LAST NAME NAM    FIRST NAME     MIDDLE NAME

 

FBI  LEAVE BLANK

STATE USAGE

 

 

ALIASES

CONTRIBUTOR

 

DATE OF BIRTH DOB

MONTH   DAY   YEAR

SIGNATURE OF PERSON FINGERPRINTED

 

NCO92013Y

CITY-CO BOF I

RALEIGH, NC

PLACE OF BIRTH POB

THIS DATA MAY BE COMPUTERIZED IN LOCAL

STATE AND NATIONAL FILES

DATE ARRESTED OR

RECEIVED  DOA

SEX

RACE

HGT

WGT

EYES

HAIR

DATE

 

SIGNATURE OF PERSON TAKING PRINTS

 

YOUR NUMBER, OCA

LEAVE BLANK

 

CLASS _______________________________________

CHARGE

 

FBI NO. FBI

 

 

REF.    _______________________________________

 

SID NO. SID

 

NCIC CLASS-FPC

FINAL DISPOSITION

SOCIAL SECURITY NO.

SOC

 

 

 

 

 

 

 

 

 

 

 

IF ARREST FINGERPRINTS SENT FBI PREVIOUSLY AND FBI NO. UNKNOWN, FURNISH ARREST NO. ________________ AND

DATE _______________

PERSONAL ITEMS ACQUIRED
1. Pen Type: ____________________________________________________

 

PALM PRINTS TAKEN  YES _________       NO __________

 

PHOTO AVAILABLE    YES _________        NO __________

2. Plastic Code: __________________________________________________

 

3. White Powder ID: ______________________________________________

 

ARREST DISPOSITIONS  AND

 

RESIDENCE OF PERSON FINGERPRINTED

EMPLOYER: IF U.S. GOVERNMENT INDICATE SPECIFIC AGENCY

IF MILITARY, LIST BRANCH OF SERVICE AND SERIAL NO.

 

SCARS, MARKS, TATTOOS AND AMPUTATIONS, SMT

 

 

OCCUPATION

DATE OF OFFENSE DOO

BASIS FOR CAUTION ICO

REPLY DESIRED?  YES _______        NO ________

SKIN TONE SKN

 

MISC. NO MNU

IMMEDIATE REPLY DESIRED?  YES _______        NO ________

WILL ACCEPT COLLECT CALL OR WIRE? YES _____  NO ______

TELEPHONE OR WIRE NUMBER: ____________________________

SEND COPY TO NAME, ORI NUMBER AND ADDRESS:

 

 

 

 

 

 

 

1. R. THUMB

 

 

 

 

 

2. R. INDEX

 

 

 

 

 

3. R. MIDDLE

 

 

 

 

 

4. R. RING

 

 

 

 

 

5. R. LITTLE

 

 

 

 

 

1. L. THUMB

 

 

 

 

 

2. L. INDEX

 

 

 

 

 

3. L. MIDDLE

 

 

 

 

 

4. L. RING

 

 

 

 

 

5. L LITTLE